The impact of a physician’s recommendation and gender on informed decision making: A randomized controlled study in a simulated decision situation

Meinhardt, Anna; Eggeling, Marie; Cress, Ulrike; Kimmerle, Joachim; Bientzle, Martina

doi:10.1111/hex.13161

Cited by 3 publications

(3 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Future studies could investigate if there is an interaction effect of gender and communicative behavior of physicians on patients’ perceived opportunity for SDM. Perhaps the communication style of physicians has a stronger impact than gender itself [ 45 , 46 ].…”

Section: Discussionmentioning

confidence: 99%

Patients’ and physicians’ gender and perspective on shared decision-making: A cross-sectional study from Dubai

et al. 2022

View full text Add to dashboard Cite

Background Delivering patient-centered care is a declared objective of many health delivery systems globally, especially in an era of value-based health care. It entails the active engagement of the patients in healthcare decisions related to their health, also known as shared decision making (SDM). Little is known about the role of gender in shaping the perspective of patients on their opportunity for engaging in SDM in the Arabian Gulf Region. The aim of this study is to investigate the role of gender in shaping patients’ perspectives toward their opportunity for SDM in Dubai, UAE. Methods This study utilized a cross-sectional survey consisting of sociodemographic questions and the 9-item Shared Decision-Making Questionnaire (SDM-Q-9). A total of 50 physicians (25 females and 25 males), practicing at a large private healthcare delivery network in Dubai, were recruited using convenience sampling. Ten patients of every recruited physician (5 male and 5 female) were surveyed (i.e., a total of 500 patients). Statistical analysis assessed the differences in patients’ perceptions of physician SDM attitude scores by physicians’ and patients’ gender using independent t-test, ANOVA-test, and Chi-square analyses. Findings A total of 50 physicians and 500 patients (250 male patients and 250 female patients) participated in this study. The odd of patients agreement was significantly lower for male physicians, compared to their female counterparts, on the following elements of SDM: the doctor precisely explaining the advantages and disadvantages of the treatment (OR = 0.55, 95%CI: 0.34–0.88, p = 0.012); the doctor helping them understand the information (OR = 0.47, 95%CI: 0.23–0.97, p = 0.038), the doctor asking about preferred treatment option (OR = 0.52, 95%CI: 0.35–0.77, p = 0.001), and the doctor thoroughly weighting the different treatment options (OR = 0.60, 95%CI: 0.41–0.90, p = 0.013). No significant associations were observed between patients’ gender and their perception of their opportunity for SDM. Likewise, no significant associations were observed between the same or different physician-patient gender and patients’ perception of physicians’ SDM attitudes. Statistically significant associations were observed between physician-patient gender and preferred treatment option for patients (p = 0.012). Conclusion Study findings suggest that while there were no differences in patients’ perspective on SDM by the gender of patients, significant differences were observed by the gender of physicians. Female physicians, compared to their male counterparts, were more engaged in SDM, with both male and female patients. Male physician-female patient dyad received the lowest scores on SDM. This could be explained by the cultural, social, and religious sensitivities that infiltrate the physician-patient relationship in the Arab contexts. Despite the multi-cultural nature of the country, some female patients may still experience some discomfort in opening up and in discussion preferences with male physicians. For physicians, striking the right balance between assertiveness and SDM is necessary within the cultural context, especially among male providers. Offering targeted learning and development programs on the importance and practice of SDM is also necessary to ensure equitable opportunity for engagement in SDM for all patients irrespective of the gender of their provider.

show abstract

Section: Discussionmentioning

confidence: 99%

Patients’ and physicians’ gender and perspective on shared decision-making: A cross-sectional study from Dubai

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Thus, the appropriate use of particular communication styles depends on the specific patient groups and the consultation goals. In addition, it has been shown that patients tend to follow the physician's advice and decide against their own initial treatment preferences [7][8][9]. In situations where patient preferences are of great importance, recommendations should be used carefully [10].…”

Section: Physician-patient Communicationmentioning

confidence: 99%

“…In situations where patient preferences are of great importance, recommendations should be used carefully [ 10 ]. If the original preference is already in line with the physician’s recommendation, the patient’s decision-making certainty and satisfaction increases [ 9 ]. Good communication gives physicians the opportunity to pass on their knowledge about a specific disease as well as diagnostic and therapeutic considerations to their patients; it is essential for this information to be understood correctly by the patient.…”

Section: Introductionmentioning

confidence: 99%

Bayesian versus diagnostic information in physician-patient communication: Effects of direction of statistical information and presentation of visualization

Brose,

Binder,

Fischer

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

Background Communicating well with patients is a competence central to everyday clinical practice, and communicating statistical information, especially in Bayesian reasoning tasks, can be challenging. In Bayesian reasoning tasks, information can be communicated in two different ways (which we call directions of information): The direction of Bayesian information (e.g., proportion of people tested positive among those with the disease) and the direction of diagnostic information (e.g., the proportion of people having the disease among those tested positive). The purpose of this study was to analyze the impact of both the direction of the information presented and whether a visualization (frequency net) is presented with it on patient’s ability to quantify a positive predictive value. Material and methods 109 participants completed four different medical cases (2⨯2⨯4 design) that were presented in a video; a physician communicated frequencies using different directions of information (Bayesian information vs. diagnostic information). In half of the cases for each direction, participants were given a frequency net. After watching the video, participants stated a positive predictive value. Accuracy and speed of response were analyzed. Results Communicating with Bayesian information led to participant performance of only 10% (without frequency net) and 37% (with frequency net) accuracy. The tasks communicated with diagnostic information but without a frequency net were correctly solved by 72% of participants, but accuracy rate decreased to 61% when participants were given a frequency net. Participants with correct responses in the Bayesian information version without visualization took longest to complete the tasks (median of 106 seconds; median of 13.5, 14.0, and 14.5 seconds in other versions). Discussion Communicating with diagnostic information rather than Bayesian information helps patients to understand specific information better and more quickly. Patients’ understanding of the relevance of test results is strongly dependent on the way the information is presented.

show abstract

Blepharoplasty Online: Critical Analysis of Content and Patient Comprehensibility

Kaleeny,

Levine,

Okamoto

et al. 2024

Aesth Plast Surg

View full text Add to dashboard Cite

Introduction Patients frequently turn to online information for decision-making factors about aesthetic procedures. The quality of online medical content is an essential supplement to clinical education. These resources assist patients in understanding the risks, benefits, and appropriateness of their desired procedure. This study examines the breadth and readability of online blepharoplasty information, elucidating its educational utility. Methods A depersonalized Google search was conducted using the Startpage Search Engine, investigating key phrases, “blepharoplasty decision making factors”, “eye lift decision making factors”, and “eyelid lift decision making factors”. The first three pages of results for each search term, totaling 90 links were screened. Data were extracted for various decision-making factors, subspecialty, gender, and readability. Results Twenty-six websites met inclusion for analysis. Thirteen websites were plastic surgery based, five otolaryngology (ENT), five ophthalmology/oculoplastic, one oral-maxillofacial (OMFS), and two mixed-based practices. Most blepharoplasty webpages identified were that of private practice and male surgeons. Half were subspecialties other than plastic surgery. Thirteen common decision-making factors were identified. The most common factors addressed across all texts were recovery followed by cosmetic and functional goals. The least discussed were genetic factors. Average Readability exceeded the 12th grade. There were no significant differences in readability means among subspecialties. Conclusion This study examines the online blepharoplasty sphere among US-based practices providing clinical education to patients. No appreciable differences among gender, subspecialty, and readability on decision-making factors were found, highlighting a consistency among surgeons. Most websites fell short of readability standards, however, emphasizing a need for clearer information to patients. No Level Assigned This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

show abstract

The impact of a physician’s recommendation and gender on informed decision making: A randomized controlled study in a simulated decision situation

Cited by 3 publications

References 53 publications

Patients’ and physicians’ gender and perspective on shared decision-making: A cross-sectional study from Dubai

Patients’ and physicians’ gender and perspective on shared decision-making: A cross-sectional study from Dubai

Bayesian versus diagnostic information in physician-patient communication: Effects of direction of statistical information and presentation of visualization

Blepharoplasty Online: Critical Analysis of Content and Patient Comprehensibility

Contact Info

Product

Resources

About